Baseline depression predicts malnutrition in head and neck cancer patients undergoing radiotherapy

Britton, Ben; Clover, Kerrie; Bateman, L.; Odelli, Cathy; Wenham, Karen; Zeman, Annette; Carter, Gregory

doi:10.1007/s00520-011-1087-y

Cited by 69 publications

(88 citation statements)

References 31 publications

(37 reference statements)

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“…In our study, the prevalence of depression was 26.4 %. It is well known that depression, among psychological factors, is associated with malnutrition in cancer patients [10,38]. This is consistent with our finding that depression was associated with malnutrition.…”

Section: Discussionsupporting

confidence: 93%

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Depression and appetite: predictors of malnutrition in gynecologic cancer

Nho

Kim

Kwon

2014

Support Care Cancer

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Purpose The reported prevalence of malnutrition and related factors in gynecologic cancer varies. We aimed to describe nutritional status and to identify demographic, clinical, psychological, and nutritional factors contributing to malnutrition in gynecologic cancer patients. Methods We used a descriptive cross-sectional design. A total of 129 subjects were enrolled. Subjects agreed to undergo a face-to-face interview, including measurement of body mass index (BMI) and administration of structured questionnaires including the Patient-Generated Subjective Global Assessment (PG-SGA), the Beck Depression Inventory (BDI), and the Simplified Nutritional Appetite Questionnaire (SNAQ). Results Mean BMI was 23.4 kg/m 2 (range, 14.6-36.7 kg/m 2 ) and median body weight was 55.0 kg (range, 38.5-91.3 kg). Sixty-nine (53.5 %) of 129 patients reported severe malnutrition according to the PG-SGA. Malnutrition among patients who had received chemotherapy was more common than among patients who had not received chemotherapy within 6 months. Depression and appetite were significant factors predicting malnutrition in patients with gynecologic cancer. However, malnutrition was not related to age, marital status, level of education, or annual income among demographic factors, nor age at onset of cancer, cancer type, stage, or duration of cancer among clinical factors.Conclusions Assessment of nutritional status should be considered along with depression and appetite in patients with gynecologic cancer. In addition, regular and consistent nutritional assessment is essential in gynecologic cancer patients because of the high prevalence of malnutrition in these patients.

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Section: Discussionsupporting

confidence: 93%

“…Psychological factors have been associated with nutritional status in cancer populations that are at significant nutritional risk, such as patients with head and neck cancer [10]. Loss of appetite may be a common feature of depression and anxiety, leading directly to malnutrition [11].…”

Section: Introductionmentioning

confidence: 99%

Depression and appetite: predictors of malnutrition in gynecologic cancer

Nho

Kim

Kwon

2014

Support Care Cancer

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“…Malnutrition affects up to 88% of patients with head-and-neck cancer during all phases of treatment and rehabilitation 15,16 . Approximately half these patients have some form of nutrition deficiency at diagnosis because of insufficient food intake secondary to pain and dysphagia caused by the tumour 17 .…”

Section: Resultsmentioning

confidence: 99%

The Association between Malnutrition and Psychological Distress in Patients with Advanced Head-and-Neck Cancer

Poulin

Feldstain

et al. 2013

Current Oncology

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“…Identified risk factors include primary tumour site, high starting weight, extent of dysphagia, chemoradiotherapy, radiotherapy dose, PS, stage of disease and depression. 21,22,[26][27][28] The full aetiology of weight loss is not yet known, nor is the extent of risk factors fully understood. Studies often appear contradictory, as they can reflect how patients are managed at different centres as much as they identify genuine risk factors for weight loss.…”

Section: Enteral Feedingmentioning

confidence: 99%